Ascites fluid characteristics HY
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Ascites fluid characteristics can provide clues to the underlying cause. Bloody or milky fluid suggests trauma, malignancy or tuberculosis. Turbid fluid may indicate infection while straw colored fluid often has more benign causes. A neutrophil count over 250/mm3 points to peritonitis, and a total protein over 2.5 g/dL suggests conditions like heart failure or cancer while under 2.5 g/dL implies cirrhosis or nephrotic syndrome. A SAAG over 1.1 g/dL indicates portal hypertension from issues like cirrhosis or Budd-Chiari syndrome, while below 1.1 g/dL the absence of portal hypertension may suggest tuberculosis, cancer or other conditions.
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- 1. Ascites fluid characteristics Color Bloody: trauma, malignancy, TB (rarely) Milky: chylous Turbid: possible infection Straw color: likely more benign causes Neutrophils 250/mm3: peritonitis (secondary or spontaneous bacterial) Total protein 2.5 g/dL (high-protein ascites) CHF, constrictive pericarditis, peritoneal carcinomatosis, TB, Budd-Chiari syndrome, fungal <2.5 g/dL (low-protein ascites) Cirrhosis, nephrotic syndrome SAAG 1.1 g/dL (indicates portal hypertension) Cardiac ascites, cirrhosis, Budd-Chiari syndrome <1.1 g/dL (absence of portal hypertension) TB, peritoneal carcinomatosis, pancreatic ascites, nephrotic syndrome